| NPI | 1932313889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN MARIE KLINKHAMMER Director Of Business Operations 701-232-3301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Mentally Retarded (Licence: ND 35004) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2020-10-19 |